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Effect of Deferasirox on Patients With Cardiac MRI T2* < 20 Msec

Primary Purpose

Beta Thalassemia Transfusion Dependent

Status
Completed
Phase
Phase 2
Locations
Italy
Study Type
Interventional
Intervention
Deferasirox
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Beta Thalassemia Transfusion Dependent focused on measuring Thalassemia, cardiac MRI T2*

Eligibility Criteria

10 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • β-thalassemic patients receiving regular transfusions with an history of at least 20 transfusional events
  • Patients naïve for deferasirox
  • Serum ferritin levels ≥1000ng/ml (average of the last 6 months assays);
  • Cardiac MRI T2* >5 and <20 msec.
  • LVEF at MRI ≥56%

Exclusion Criteria:

  • Patients that have already started deferasirox therapy
  • Existing contraindications to the performance of MRI procedure, including presence of metallic prostheses not compatible with the MRI procedure other than those approved as safe for use in MRI scanners (e.g., some types of aneurysm clips, shrapnel in proximity to vital organs such as the retina), pacemaker, intractable claustrophobia and incapability to follow the instruction for the correct performance of the MRI (e.g. to maintain a supine position, to hold breath, etc.)
  • Clinical conditions requiring intensive chelating therapy on the basis of Investigator's judgment
  • Stable average ALT levels >300 U/L in the preceding 12 months
  • Uncontrolled systemic hypertension
  • Estimated creatinine clearance <60 ml/min
  • History of nephrotic syndrome
  • History of clinically significant ocular toxicity related to the chelating therapy
  • Psychiatric disorders or drug dependence that might impair the capability of the patient to provide their Informed Consent or to be administered the study treatment
  • Known sensitivity to study drug(s) or class of study drug(s)
  • Patients with severe medical condition(s) that in the view of the investigator prohibits participation in the study
  • Use of any other investigational agent in the last 30 days.

Other protocol-defined inclusion/exclusion criteria may apply.

Sites / Locations

  • Novartis Investigative Site
  • Novartis Investigative Site

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Deferasirox

Arm Description

30 mg/kg/day. The daily dose can be increased to 40 mg/kg in case of unsatisfactory response after 12 weeks of treatment.

Outcomes

Primary Outcome Measures

Change from baseline in cardiac T2* value
Unsatisfactory response is a monthly MRI T2* improvement lower than 3% versus baseline.

Secondary Outcome Measures

Change from baseline in cardiac functions parameters (LVEF, LVESV and LVEDV)
Change from baseline liver T2* value

Full Information

First Posted
April 8, 2009
Last Updated
December 8, 2016
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT00879242
Brief Title
Effect of Deferasirox on Patients With Cardiac MRI T2* < 20 Msec
Official Title
Multicenter, Open Label, Prospective Study to Evaluate the Efficacy and Safety of Deferasirox 30 mg/kg/Day for 52 Weeks, in Transfusion-dependent Beta-thalassemic Patients With Cardiac MRI T2* < 20 Msec
Study Type
Interventional

2. Study Status

Record Verification Date
November 2011
Overall Recruitment Status
Completed
Study Start Date
February 2009 (undefined)
Primary Completion Date
May 2011 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Pharmaceuticals

4. Oversight

5. Study Description

Brief Summary
This study will assess the safety and efficacy of deferasirox in patients with cardiac MRI T2* < 20 msec.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Beta Thalassemia Transfusion Dependent
Keywords
Thalassemia, cardiac MRI T2*

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Deferasirox
Arm Type
Experimental
Arm Description
30 mg/kg/day. The daily dose can be increased to 40 mg/kg in case of unsatisfactory response after 12 weeks of treatment.
Intervention Type
Drug
Intervention Name(s)
Deferasirox
Intervention Description
Dispersible tables of 125, 250 and 500 mg at the dose of 30 mg/kg/day, oral administration.
Primary Outcome Measure Information:
Title
Change from baseline in cardiac T2* value
Description
Unsatisfactory response is a monthly MRI T2* improvement lower than 3% versus baseline.
Time Frame
52 weeks
Secondary Outcome Measure Information:
Title
Change from baseline in cardiac functions parameters (LVEF, LVESV and LVEDV)
Time Frame
52 weeks
Title
Change from baseline liver T2* value
Time Frame
52 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
10 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: β-thalassemic patients receiving regular transfusions with an history of at least 20 transfusional events Patients naïve for deferasirox Serum ferritin levels ≥1000ng/ml (average of the last 6 months assays); Cardiac MRI T2* >5 and <20 msec. LVEF at MRI ≥56% Exclusion Criteria: Patients that have already started deferasirox therapy Existing contraindications to the performance of MRI procedure, including presence of metallic prostheses not compatible with the MRI procedure other than those approved as safe for use in MRI scanners (e.g., some types of aneurysm clips, shrapnel in proximity to vital organs such as the retina), pacemaker, intractable claustrophobia and incapability to follow the instruction for the correct performance of the MRI (e.g. to maintain a supine position, to hold breath, etc.) Clinical conditions requiring intensive chelating therapy on the basis of Investigator's judgment Stable average ALT levels >300 U/L in the preceding 12 months Uncontrolled systemic hypertension Estimated creatinine clearance <60 ml/min History of nephrotic syndrome History of clinically significant ocular toxicity related to the chelating therapy Psychiatric disorders or drug dependence that might impair the capability of the patient to provide their Informed Consent or to be administered the study treatment Known sensitivity to study drug(s) or class of study drug(s) Patients with severe medical condition(s) that in the view of the investigator prohibits participation in the study Use of any other investigational agent in the last 30 days. Other protocol-defined inclusion/exclusion criteria may apply.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Novartis Investigative Site
City
Cagliari
Country
Italy
Facility Name
Novartis Investigative Site
City
Orbassano
Country
Italy

12. IPD Sharing Statement

Citations:
PubMed Identifier
24976388
Citation
Piga A, Longo F, Origa R, Roggero S, Pinna F, Zappu A, Castiglioni C, Cappellini MD. Deferasirox for cardiac siderosis in beta-thalassaemia major: a multicentre, open label, prospective study. Br J Haematol. 2014 Nov;167(3):423-6. doi: 10.1111/bjh.12987. Epub 2014 Jun 30. No abstract available.
Results Reference
result

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Effect of Deferasirox on Patients With Cardiac MRI T2* < 20 Msec

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